Clinical context A 70-year-old client taking extended-releas… | MyMerci
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Adverse Effects/Contraindications/Interactions

Clinical context A 70-year-old client taking extended-release theophylline stopped smoking 6 days ago and started ciprofloxacin 3 days ago; repeated vomiting, tremor, agitation, an irregular heart rate of 132/min, potassium 2.9 mEq/L, and a theophylline concentration of 31 mcg/mL now suggest serious toxicity. Place the emergency actions in the safest sequence.

Ordered Response

Choose your responses, then check the answer.

Implement poison-management recommendations and authorized treatment for dysrhythmia, seizure risk, and ongoing absorption.
Assess and support airway, breathing, circulation, cardiac rhythm, and neurologic status.
Withhold theophylline, stop the interacting medication pending review, and activate urgent assistance.
Repeat clinical assessments, rhythm review, laboratory studies, and drug concentrations until toxicity is durably resolving.
Obtain the ordered theophylline concentration, electrolytes, glucose, and acid-base studies without delaying stabilization.
Explanation
The sequence interrupts the exposure, stabilizes vital functions, defines severity, implements toxicology-directed therapy, and checks for sustained-release rebound.
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For study reference only. Always follow current clinical guidelines and your institution’s protocols.